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膝关节剥脱性骨软骨炎:解剖复位与可靠固定的要点与陷阱

Osteochondritis Dissecans of the Knee: Pearls and Pitfalls of Anatomical Reduction and Secure Fixation.

作者信息

Carrozzo Alessandro, Haidar Ibrahim M, Guy Sylvain, Ferreira Alexandre, Vieira Thais Dutra, Godeneche Arnaud, Sonnery-Cottet Bertrand

机构信息

Centre Orthopédique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon, France.

出版信息

Arthrosc Tech. 2021 Jul 20;10(8):e2005-e2008. doi: 10.1016/j.eats.2021.04.028. eCollection 2021 Aug.

DOI:10.1016/j.eats.2021.04.028
PMID:34401246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8355507/
Abstract

Osteochondritis dissecans of the knee is characterized by sterile necrosis of the subchondral bone and typically affects skeletally immature patients. When left untreated, osteochondritis dissecans can lead to early-onset osteoarthritis, resulting in pain and disability. This study shows the pearls and pitfalls of an arthroscopic technique of fixation performed successfully using a bioabsorbable nail for unstable osteochondritis dissecans lesions located in the medial femoral condyle of the knee.

摘要

膝关节剥脱性骨软骨炎的特征是软骨下骨无菌性坏死,通常影响骨骼未成熟的患者。如果不进行治疗,剥脱性骨软骨炎可导致早发性骨关节炎,从而引起疼痛和功能障碍。本研究展示了一种关节镜下固定技术的要点与陷阱,该技术使用生物可吸收钉成功治疗了位于膝关节股骨内侧髁的不稳定剥脱性骨软骨炎病变。

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1
Osteochondritis Dissecans of the Knee: Pearls and Pitfalls of Anatomical Reduction and Secure Fixation.膝关节剥脱性骨软骨炎:解剖复位与可靠固定的要点与陷阱
Arthrosc Tech. 2021 Jul 20;10(8):e2005-e2008. doi: 10.1016/j.eats.2021.04.028. eCollection 2021 Aug.
2
Osteochondritis Dissecans of the Knee膝关节剥脱性骨软骨炎
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本文引用的文献

1
Osteochondritis Dissecans of the Knee: Arthroscopic Suture Anchor Fixation.膝关节剥脱性骨软骨炎:关节镜下缝线锚钉固定术
Arthrosc Tech. 2020 Aug 7;9(8):e1203-e1209. doi: 10.1016/j.eats.2020.04.021. eCollection 2020 Aug.
2
Arthroscopic Fixation of Osteochondritis Dissecans of the Knee Using a Motorized Pick and Headless Compression Screws.使用电动骨凿和无头加压螺钉对膝关节剥脱性骨软骨炎进行关节镜下固定
Arthrosc Tech. 2019 Sep 19;8(10):e1115-e1120. doi: 10.1016/j.eats.2019.05.031. eCollection 2019 Oct.
3
Arthroscopic Treatment of Medial Femoral Knee Osteochondral Defect Using Subchondroplasty and Chitosan-Based Scaffold.
关节镜下使用软骨下成形术和壳聚糖基支架治疗股骨内侧髁骨软骨缺损
Arthrosc Tech. 2019 Apr 9;8(4):e413-e418. doi: 10.1016/j.eats.2018.11.022. eCollection 2019 Apr.
4
Epidemiology and patient-reported outcome after juvenile osteochondritis dissecans in the knee.青少年膝关节剥脱性骨软骨炎的流行病学及患者报告结局
Knee. 2018 Aug;25(4):595-601. doi: 10.1016/j.knee.2018.02.005. Epub 2018 May 21.
5
Incidence of symptomatic osteochondritis dissecans lesions of the knee: a population-based study in Olmsted County.膝关节症状性剥脱性骨软骨炎病变的发病率:奥尔姆斯特德县的一项基于人群的研究。
Osteoarthritis Cartilage. 2017 Oct;25(10):1663-1671. doi: 10.1016/j.joca.2017.07.005. Epub 2017 Jul 12.
6
Internal Fixation of Unstable Osteochondritis Dissecans in the Skeletally Mature Knee with Metal Screws.用金属螺钉对骨骼成熟膝关节不稳定的剥脱性骨软骨炎进行内固定。
Cartilage. 2016 Apr;7(2):157-62. doi: 10.1177/1947603515622662. Epub 2015 Dec 30.
7
The meniscus Arrow or metal screw for treatment of osteochondritis dissecans? In vitro comparison of their effectiveness.
Knee Surg Sports Traumatol Arthrosc. 2004 Jan;12(1):52-7. doi: 10.1007/s00167-003-0435-y. Epub 2003 Oct 30.
8
Articular cartilage defects in 1,000 knee arthroscopies.1000例膝关节关节镜检查中的关节软骨缺损情况。
Arthroscopy. 2002 Sep;18(7):730-4. doi: 10.1053/jars.2002.32839.